FORM 1023-EZ for CAROLYN COMMUNITY GROUP HOMES FOUNDATION

Field Data
EIN 27-1979066
Case Number EO-2020198-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAROLYN COMMUNITY GROUP HOMES FOUNDATION
Organization’s Mailing Address 8308 ARDEN LANE
City FORT WASHINGTON
State MD
ZIP 20744
Accounting period End 5
Primary contact name CAROLYN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN S FREEMAN
CEO
8308 ARDEN LANE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Two

ANTHONY BROWN
VICE PRESIDENT
2666 CALVES PLACE
SAN JOSE CA 95106

Officer/Director/Trustee Three

TONYA MARTIN
OFFICER
DEE LANE
CLINTON MD 20735

Officer/Director/Trustee Four

NEAMBIE STEWARD
SECRETARY
ARDEN LANE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Five

MARLENE THOMAS
OFFICER
IVY BRIDGE RG
FORT WASHINGTON MD 20744

Organization’s website
Organization’s email CCGHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CAROLYN S FREEMAN
Signature Title CEO
Signature Date 7/14/2020
EIN 27-1979066
Case Number EO-2016020-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLYN COMMUNITY GROUP HOMES FOUNDATION
Organization’s Mailing Address 8308 ARDEN LANE
City FORT WASHINGTON
State MD
ZIP 20744
Accounting period End 12
Primary contact name CAROLYN FREEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN FREEMAN
EXECUTIVE DIRECTOR
8308 ARDEN LANE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Two

MARLENE THOMAS
BOARD MEMBER AT LARGE
10801 BLACKPOWDER COURT
FORT WASHINGTON MD 20744

Officer/Director/Trustee Three

NIAMBIE STEWART
SECRETARY
8309 ARDEN LANE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Four

SHARON ALLEN
BOARD MEMBER AT LARGE
5947 HARFORD AVENUE
GWYNN OAK MD 21207

Organization’s website WWW.CCGHF.ORG
Organization’s email CCGHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2010
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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